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Trial registered on ANZCTR
Registration number
ACTRN12615000409572
Ethics application status
Approved
Date submitted
4/11/2014
Date registered
30/04/2015
Date last updated
22/08/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Changes in the portal flow after pumping technique of liver to individuals attending osteopathic consultation for any disorder whose pathophysiology has been related to liver function
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Scientific title
Changes in the portal flow after pumping technique of liver to individuals attending osteopathic consultation for any disorder whose pathophysiology has been related to liver function
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Secondary ID [1]
285595
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Any disorder whose pathophysiology has been related to liver function.
293437
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spinal pains condition
294768
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headache condition
294769
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Condition category
Condition code
Oral and Gastrointestinal
293708
293708
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The pumping technique: To such end, the subject place in a supine position with knees bent and the therapist standing on the left hand side of the patient, near the abdominal area. The left hand goes under the costal border to lift the costal chest. The right hand rests on the lower chest on the right side to compress the liver through the costal wall. The lower hand lifts the ribs while the upper hand exerts compression. The patient is asked to inhale deeply, and on exhaling the compression is performed with the hands, and during deep inspiration. This will be repeated for 10 respiratory cycles. Thus, through the anteroposterior contact on the liver, using the costal inspiration, which lowers the diaphragm, the liver is pumped
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Intervention code [1]
290543
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Treatment: Other
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Comparator / control treatment
Subjects in the Control Group followed exactly the same process for measurements, positions, contacts and breathing as the Experimental Group, with the only exception being the pumping. In lieu of any force, the therapist's hands will limited to accompanying the respiratory movements with no compression.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Evaluate the effects of the isolated liver pumping technique, on portal venous flow, using Doppler ultrasound
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Assessment method [1]
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Timepoint [1]
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immediately following completion of treatment
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Secondary outcome [1]
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Evaluate the effects of the isolated liver pumping technique, on portal venous diameter, using Doppler ultrasound
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Assessment method [1]
311233
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Timepoint [1]
311233
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immediately following completion of treatment
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Eligibility
Key inclusion criteria
Inclusion criteria will be subjects of both sexes who seek an osteopathy consultation for any disorder whose pathophysiology has been related with the function of the liver by some author (spinal pains, headaches, sprained ankle ...), aged between 18 and 65 years, must have fasted for at least 8 hours and tolerating the supine position
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Subjects presenting the following could not participate in the study (i) contraindication or intolerance to coastal compression, (ii) psychotic problems, (iii) primary cancer or current metastases, (iv) current gastrointestinal bleeding, (v) liver transplants ( vi) polycystic liver or hepatobiliary infarction (vii) intra-abdominal infection or inflammation in acute phase, (viii) chronic liver disease of any etiology, (ix) decompensated heart failure (x) subjects who are receiving chemotherapy and / or radiotherapy, (xi) pregnant women, (xii) and subjects with a waist circumference greater than 88 cm in women and 102 cm in men, for better ultrasound visualization
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The subjects will be formed through random ballots in sealed envelopes, assigning to the Experimental Group (EG) those subjects who draw a ballot with the number 1, and to the Control Group (CG) those subjects who drew a ballot with the number 2. An outside co-worker safeguard the sequence for those participating in the study.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
This trial use simple randomisation. Participants randomly removed, being removed from the rest chosen on envelopes, sealed envelopes with numbers 1 and 2 written. Be so formed two groups: an intervention group and a control group. Assigning to the Experimental Group (EG) those subjects who draw a ballot with the number 1, and to the Control Group (CG) those subjects who drew a ballot with the number 2
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
18/05/2015
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Actual
18/05/2015
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Date of last participant enrolment
Anticipated
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Actual
19/11/2015
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Date of last data collection
Anticipated
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Actual
11/10/2017
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Sample size
Target
46
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Accrual to date
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Final
46
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Recruitment outside Australia
Country [1]
6450
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Spain
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State/province [1]
6450
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Madrid
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Funding & Sponsors
Funding source category [1]
290186
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Commercial sector/Industry
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Name [1]
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Hitachi
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Address [1]
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Sistemas integrales Medica. S.a.
Avda. Sistema Solar, 25
San Fernando de Henares
28030 Madrid
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Country [1]
290186
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Spain
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Primary sponsor type
Individual
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Name
Elena Sonsoles Rodriguez Lopez
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Address
pza nicaragua, 9, 9 A
Mostoles
28936 Madrid
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Country
Spain
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Secondary sponsor category [1]
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Individual
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Name [1]
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Angel Oliva Pascual Vaca
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Address [1]
288898
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pza nicaragua, 9, 9 A
Mostoles
28936 Madrid
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Country [1]
288898
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Spain
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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SEFO- scientific european federation osteopaths
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Ethics committee address [1]
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C/ San Felix de Alcala 4 28807 Alcala de Henares Madrid
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Ethics committee country [1]
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Spain
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Date submitted for ethics approval [1]
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21/01/2015
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Approval date [1]
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11/02/2015
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Ethics approval number [1]
291896
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Summary
Brief summary
The osteopathic treatment of the liver has been recommended in several types of disorders in order to increase and improve the liver function. However, there are no studies to support its effectiveness. Therefore, through the Doppler ultrasound, we inten to evaluate the effect of the osteopathic manual pumping of liver technique on changes in the portal venous flow in patients with different symptoms. The conceptual hypothesis of our study will be that "the manual treatment of the liver improves the velocity of the flow of the portal vein," so that a visceral manual operation may change the function of the viscera itself and in our study the values of portal haemodynamics.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Elena Sonsoles Rodriguez Lopez
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Address
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Plaza de Nicaragua, 9, 9 A.
28936 Mostoles (Madrid)
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Country
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Spain
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Phone
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+34679336394
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Fax
52494
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Email
52494
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[email protected]
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Contact person for public queries
Name
52495
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Elena Sonsoles Rodriguez Lopez
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Address
52495
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Plaza de Nicaragua, 9, 9 A.
28936 Mostoles (Madrid)
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Country
52495
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Spain
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Phone
52495
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+34679336394
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Fax
52495
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Email
52495
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[email protected]
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Contact person for scientific queries
Name
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Elena Sonsoles Rodriguez Lopez
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Address
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Plaza de Nicaragua, 9, 9 A.
28936 Mostoles (Madrid)
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Country
52496
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Spain
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Phone
52496
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+34679336394
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Fax
52496
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Email
52496
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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